<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Payment</title>
<style type="text/css">
body {
	background-color: #FFC;
}
</style>
<link href="../css/CommonButton.css" rel="stylesheet" type="text/css" />
</head>

<body>
<p><img src="../img/Best-Credit-Cards1.jpg" width="1172" height="137" /></p>
<form id="form1" name="form1" method="post" action="">
  <table width="945" height="480" border="0">
    <tr>
      <th width="416" scope="row"><img src="../img/credit-card-processing.jpg" width="377" height="395" align="left" /></th>
      <td width="565"><table width="480" height="369" border="0">
        <tr></tr>
        <tr>
          <th scope="row"><label for="name2">Name: </label>
            <input type="text" name="name" id="name2" /></th>
        </tr>
        <tr>
          <th scope="row">Card Type
            <input type="radio" name="radio" id="master_radio" value="master_radio" />
            <label for="master_radio">Master
              <input type="radio" name="radio" id="vista_type" value="vista_radio" />
              Vista</label></th>
        </tr>
        <tr>
          <th scope="row"><label for="card_number">Card Number: </label>
            <input type="text" name="card_number" id="card_number" /></th>
        </tr>
        <tr>
          <th scope="row"><label for="cvv">CVV: </label>
            <input type="text" name="cvv" id="cvv" /></th>
        </tr>
        <tr>
          <th scope="row"><input name="back" type="button" class="CommonButton" id="back" onclick="this.form.action='customer_information.jsp';this.form.submit();" value="Back"/>            <input name="next" type="button" class="CommonButton" id="next" onclick="this.form.action='confirm_page.jsp';this.form.submit();" value="Next"/></th>
        </tr>
      </table></td>
    </tr>
  </table>
</form>
<p>&nbsp;</p>
</body>
</html>
